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[Disposable versus reusable instruments in laparoscopic surgery--a controlled study]

V Paolucci1, B Schaeff, C Gutt

  • 1Klinik für Allgemeinchirurgie, Johann-Wolfgang-Goethe-Universität Frankfurt am Main.

Zentralblatt Fur Chirurgie
|January 1, 1995
PubMed
Summary
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Disposable laparoscopic instruments reduce operative time and intraoperative technical issues compared to reusable ones. However, reusable instruments are more cost-effective for cholecystectomy procedures.

Area of Science:

  • Surgical Technology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic surgery instruments are available in disposable and reusable types.
  • Choosing between disposable and reusable instruments involves balancing various clinical and economic factors.

Purpose of the Study:

  • To compare the advantages and disadvantages of disposable versus reusable laparoscopic instruments.
  • To quantify differences in outcomes for cholecystectomy using both instrument types.

Main Methods:

  • A prospective, randomized study involving 158 patients undergoing cholecystectomy.
  • Patients were allocated to surgery with either reusable (n=80) or disposable (n=78) instruments.
  • Key parameters analyzed included operation length, complications, conversion rates, pain, work absence, technical issues, and hospitalization.

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Main Results:

  • No significant differences were observed in postoperative hospitalization, complication rates, subjective pain, or inability to work.
  • Disposable instruments showed advantages in lower conversion rates and shorter operation times.
  • A statistically significant reduction in intraoperative technical problems was noted with disposable instruments.

Conclusions:

  • Disposable laparoscopic instruments offer benefits in terms of operative efficiency and reduced technical difficulties during cholecystectomy.
  • Despite higher initial costs, reusable instruments remain more economical overall for this procedure, considering time and personnel expenses.